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HomeMy WebLinkAboutPlumbing � CITY OF bSHKOSH No sasz� OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3300 MEDALIST DR Owner SMET INVESTMENTS LLC Create Date 10/31/2002 Contractor OGDENPLUMBING Category 440-Industrial-Interior Pian Bathtub 0 Shower 5 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drein 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Lavatory 1 Lndry Tray 0 Locai Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0 Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work REMODLE ADDITION TO FACTORY PLUMBING FOR EMPLOYEE SHOWERS Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valualion $11,000.00 Plan Approval $0.00 Permit Fees $36.00 Issued By Date 10/31/2002 �Pe�mit�ded� In the performance of this work, I agree to pertorm all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address PO BOX 689 NEENAH WI 54957 -0689 Telephone Number 725-8985 10/31/2002 13:47 9207258984 �0GDEN PLUMBING PAGE 02 Clct 31 02 08: 35a Oshkosh Inspeptions 920-296-5084 p. z a��� Ciry af Oshka:h G��1��i Inspcction Servica Divisaoa � P O Box 1130 � ;. Oshl:osh,WI t A903-I I30 i Phone:(920)136-5050 � Fa�:c9zo,Z3<-sa� O1HK IH � ' p�r�F wRFR � ' � Plumbing Permit Apptica�ion I hereby appl� £oz a pemxit zo do and insral)ihe fopowing plumbing on the premises hereinafter described,tbe woxk to conform m rhe Wisco;uin State Ptumbing Code, in the perfocptaace oPwhich�all parries herero 3gtee to and arc.bound by said stsates. . • Application(s)and fcc(s)can bc braltght to C1ty Hall.Room 205 or mailed to Inspeccion Serviccs,PU Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s)will resutt in fees being douhled or S 100.00 plus tLc normal p:rmit fee, which ever is greater. OR If vau are a c ntracl r artici atln i the Permit ee c r nA Aa»e ade «ate i�n s epecA here ijyga want d�is roc r d t h urac �u l ' �, � Job Addres 5�30D IYIP�CIQ��S�' �J�. Value<Mcwa;�B iaeo�.,�a„re��.is7 � �_[��yU' Date � 3� ��- Owner �..�— PtSklnM` StAS�CIYIS Contractor ��� �0l�f�1 t"lU�'YLbJ1,YL0i. � �Qf' j1Gj, �Single Fa�roily QAuplex Q1V�ulti-Family ❑Reqta) QCommercial ❑lndustria� Number of Fixtures: Bqth�ub _ lndry SbeMp J� DenL Oper. _ Shomp Sink _ R'hirlpool DiEposal � (NpWcll ,,,,,,___ }IcM1VstSwk ____` . Aa��rory � D�shwasher _ . pnnk Fm _ Catch AeEin � � Toilet _ Sump PumP �, Wait St. _ Wash K'm ` Res.5ink ,_�____ EjectetlCrtmnd � iceChest �_ Urinai _ darSink _ WatvSoftncr __ ExamSink GarDnin � Waeer yeaur Lxel Wute Sculry Sink _ Sodn�isy , � �Gas 7 Elect'.:PwrVnt �a��yshr �,_ Hend Sink � Cof(a,14aka ,__ Shower 5 B{det _ FPrepSlnk _ teeMeke _ FIOOrPnin _ g�Tap T^ ' $erv5�nk _._�_,__ SiroDram __ �ry T�'f --- Clusrm Sink _ la�Gfax TfaO - Roof Drein _ IaL5ink � SurgenrtsSink �,,., ' Fx[GruseTrsp _ SG+ndpltec _� PlasmrSlnk _ BrtakrmSink __,___� SterllihY _ . i i � ' Electric Co�ttractor OR �Electric Installafion Ver�cation form attached . (I(Repiacemrnt) USe(D18CuP:Of Work F'1((�;Q D Siu Maarial Type �l Conn.Type Sanitary Sewci i . ' Stozrta Sewer . IWateIStIY10E 3/0S